Individual provider Active NPI

Jinous Berjis, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1790337707
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
39406 Issued in CA
Practice address
6535 Wilshire Blvd Ste 260
Los Angeles, CA 90048-4965
Phone
(310) 309-0910
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 39406 CA Primary

Addresses

Primary practice location

6535 Wilshire Blvd Ste 260
Los Angeles, CA 90048-4965

Mailing address

6535 Wilshire Blvd Ste 260
Los Angeles, CA 90048-4965
Phone (310) 309-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39406CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1790337707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 WILSHIRE BLVD STE 260",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484965",
            "telephone_number": "310-309-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 WILSHIRE BLVD STE 260",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484965",
            "telephone_number": "310-309-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERJIS",
        "first_name": "JINOUS",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.